California Supreme Court Rules in School Insulin Case

SACRAMENTO, Calif. — Trained school employees can administer insulin shots to diabetic students if a nurse is not available, the California Supreme Court unanimously ruled on Monday.

The ruling reverses a lower court decision that said California law allows only licensed professionals to administer the shots.

The Supreme Court ruled that “state law in effect leaves to each student’s physician, with parental consent, the question whether insulin may safely and appropriately be administered by unlicensed school personnel, and reflects the practical reality that most insulin administered outside of hospitals and other clinical settings is in fact administered by laypersons.”

The decision supports a 2007 agreement between the state Department of Education and the American Diabetes Association, which addressed a shortage of nurses to attend to all diabetic students by allowing trained teachers and administrators to give the shots.

Nurses’ organizations sued to block the agreement, arguing that state law only allows nurses to administer prescription medication, including insulin. They said inappropriately administered shots could hurt students.

But parents and groups such as the American Diabetes Association said many school districts across the state are experiencing a shortage of licensed nurses, which could leave the children who cannot self-administer their shots at risk.

There are an estimated 14,000 diabetic students in California public schools. The state has one nurse for every 2,200 students. Sixty-nine percent of California’s schools have only a part-time nurse, and 26 percent have no nurse at all.

The Obama administration filed a brief in the case supporting the broader policy allowing school employees to administer the shots as well.

Lawyers with the American Nurses Association did not return calls for comment.